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11D2037167 CLIA NUMBER - MERCY MED OF COLUMBUS

Laboratory Demographics

CLIA Number: 11D2037167

Facility Name: MERCY MED OF COLUMBUS

Facility Address:
3702 2ND AVENUE
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 507-9209

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639450877

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D2037167
LAB Type Physician Office
Facility Name MERCY MED OF COLUMBUS
Street 3702 2ND AVENUE
City COLUMBUS
State GA
ZIP 31904
Phone 706 507-9209
CertificateType 4
CertificateEffectiveDate 11/1/2023
CertificateExpirationDate 10/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024